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69B – Bending the Curve: Innovative Health Plan Collaboration to Reduce Unnecessary ED Visits and Inpatient Stays

Tuesday, March 24th
4:15pm5:45pm

About the Session

In the Las Vegas market, UnitedHealthcare and DispatchHealth collaborated to develop a new program to address high ED and inpatient utilization with members of UHC’s commercial and Medicaid products. By providing an in-home alternative for same day care for non-time sensitive illnesses and injuries, the Plan Directed Visit Program has reduced the incidence of unnecessary ED visits. Likewise, by identifying members who have a history of high ED utilization or who have chronic conditions known to drive ED utilization, this innovative program provides proactive home visits from a clinical team for assessment and education on non-ED alternatives for care when exacerbations occur. During this seminar, faculty will discuss the data and problems related to unnecessary ED and inpatient utilization; describe the care model and infrastructure that support the Plan Directed Visit Program; and share the outcomes since this program was implemented.

Learning Objectives:

  • Understand the impact unnecessary ED and inpatient utilization have on patient experience and healthcare costs.
  • Explore innovative approaches and alternatives for avoiding unnecessary ED and inpatient utilization.

Categories

Presented By

William R. Butcher, FACHE

Regional Market Director
DispatchHealth

Dave K. Dookeeram, FACHE

Chief Administrative Officer
DispatchHealth

Laurine Tibaldi, MD, FACP

CMO
UnitedHealthcare Nevada, Utah/Health Plan of Nevada